JENNIFER BURNSIDE LCDCIII NPI 1417414962

NPI Information

Jennifer Burnside, LCDCIII is a counselor in Lebanon, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jennifer Burnside, LCDCIII NPI is 1417414962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

777 COLUMBUS AVE
LEBANON, OH
ZIP 45036-684
Phone: (513) 228-6590

The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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